Hi, Doctor. This is a follow up to question #1385. I wouldn't be posting this follow-up except for two reasons: first, this occasion is the only time I'm been unfaithful in 20 years. Second, I have this rash that is concerning me related to the first. At first I though it was a heat rash but two (maybe three) weeks ago I noticed what looked like little bumps in the rash. They look almost like goose bumps but a little more pronounced. They don't look like they have any liquid in them, and I certainly wouldn't say they look like blisters (definitely no clear liquid). Depending on the light, they sometimes look like they have little white heads but it's hard to tell. I was worried about HSV-1 or 2 but I had a test at almost 7 weeks that showed I had neither. I also read sometimes HSV IIG tests aren't that accurate, but the timing seems all wrong for herpes (5-6 weeks after exposure). The bumps don't hurt even with direct touch, they haven't changed at all in the 2-3 weeks since I noticed them. I have this tingly burning (almost like Icy Hot feeling on the top of my thighs and inner thigh around my knees. Does this sound crazy? Any thoughts on what this might be?

I forgot a key part, the location. The rash is on my inner thighs (left and right) where legs and scrotum meet. 

Welcome back. I'll be taking your question this time. I reviewed your recent discussion with Dr. Hook.---

Thanks so much. I'm sure most (all?) of this is emotional/psychological and I have an appointment with a therapist next week to go over this (and some other things). I call it a a rash because, as I mentioned in my thread with Dr. Hook, it initially reminded me of a heat rash. It was a slight rash that itched and burned a little in the left and right crevices of my inner thighs where they meet the scrotum. It then spread, a tiny bit, to the inner thighs and the bumps I mentioned showed up on my left and right inner thighs right below that crevice.  Right now the skin is only slightly red where the bumps are but it is redder than the surrounding skin. Unfortunately, I turned to medical advice from Dr. Google who is a horrible physician and takes more pleasure in messing with your head than providing any really insightful info, and now think it could also be Moluscum (except there's no dimples). Does that sound probable from what I described. There are two final things I forgot in this new post. I'll share them to see if they change your opinion, then I'll take this up in the future only with my therapist. First, about the time I noticed the bumps, my scrotum was burning and itching real badly (has gone away since). I thought it looked much redder too but that may have been only psychological. Second, I noticed what looks like fordyce spots on the right side shaft where it meets my body. The spots haven't changed since I noticed them probably a week ago (they may have been there before and I'm just really freaking out but I don't think so). Does that change your opinion at all? Oh, and do you agree that the tests I took would be conclusive at 6 weeks 5 days or should I follow-up (especially herpes)?  For some reason the thought of untreatable things like HSV-1 and 2 really freak me out (I know there was no risk for HIV).Thank you so much Dr. Handsfield.

Dr. Handsfield, did you get my follow-up question?

Sorry I didn't get to this sooner.---

Thanks so much Dr. I saw my GP, she said it was a yeast infection. She gave me a prescription cream and three tabs of Fluconazole. She said it definitely wasn't herpes so stop worrying about it. With regards to re-testing, I completely understand your point. I'm guessing the iGg test I had for HSV-1 and HSV-2  6 weeks 5 days after the incident only told me that I was negative for both before this encounter and I still may have contacted either. Is that a correct way to look at it? Both you and Dr. Hook use terms like "low risk", and "infections from the exposure you describe is tiny" and I guess I was wondering if you could translate that into a rough 1 in X or X% chance of acquiring STIs (even an educated guess) from a single insertive oral encounter? I know symptoms don't have to be present, but do lack of symptoms on the parter decrease the probability at all? Thanks so much for you help, I'll await your answers and you closing the thread.

Glad to hear a specific diagnosis has been reached.---